| NPI | 1104680586 |
|---|---|
| Former Name | TONI LEE CONRAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |